NBAC Long Course Champs- Application to officiate and to be evaluated
Welcome to the NBAC Long Course Championship meet! This is an Officials National Qualifying meet. If you are interested in officiating the meet, please fill out the form below and submit. This form will also record your request to be evaluated for N2 or N3 status in USA Swimming. Requests for evaluation must be submitted by June 1, 2014 in order to be honored. Anyone requesting N2 or N3 must be willing to officiate the meet for a minimum of 4 sessions during the meet. All requirements for advancement and recertification can be found on the USA Swimming site on the Officials resource page at www.usaswimming.org/DesktopDefault.aspx?TabId=1515&Alias=Rainbow&Lang=en-US

If you are not requesting an evaluation, please note this in the Evaluation Request drop down menu.

If you have any questions about the N2/N3 certification process or the meet, please contact Betsy Coe, 01andercoe@gmail.com.

We thank you for your interest in officiating our meet and look forward to welcoming you to Meadowbrook, Home of North Baltimore Aquatic Club!

See you on the deck!

Betsy Coe
Meet Referee


Personal Information
Name
Your answer
Team
Your answer
Email
Your answer
Phone number
Your answer
Emergency Contact
In the space below, please enter the name and phone number of the person you would like contacted in case of emergency.
Your answer
Pool Preference for Prelims (Does not apply for timed finals on Friday night)
Please note that we will try to honor this request but may not be able to depending the need to cover both pools equally.
Current Certification Information and Evaluation Request
Current Certifications
Please list level of all certifications that apply
LSC
N2
N3
Not Applicable
Stroke and Turn
Starter
Chief Judge
Deck Referee
Administrative Referee
Administrative Official
Request evaluation for the following position.
I would like an evaluation
Request level for evaluation
I would like to be assigned to the following position for the meet
Session Availability
Please enter Available or Not Available for each session below. Remember if you are applying for evaluation you must meet the minimum session limit for the meet and the position. See the USA Swimming website for more details.
Friday Timed Finals
Saturday Prelims
Saturday Finals
Sunday Prelims
Sunday Finals
Monday Finals
Monday Prelims
If coming from out of town, would you like a roommate?
Inofrmation or Questions for the Meet Referee
Comments or questions for the Meet Referee
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms
Google Forms